CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Memorial Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $83
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Memorial Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.94x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$16.8

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $16.8 (100%)
Cash / Self-Pay: $121 (720%)
Insurance Median: $83 (494%)
Cash: $121 (720% of Medicare)
Ins. Median: $83 (494% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $16.8 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 494% of the Medicare baseline (a markup of 394%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Triwest Va Pccc-All Plans $47 280%
Amerigroup Mcr Adv-All Other Plans $48 286%
Care Improvement Plus - All Other Plans $48 286%
Coventry First Hlth Mcr Adv $48 286%
Multiplan Mcr Adv $48 286%
Superior Allwell Mcr Adv-All Other Plans $48 286%
UnitedHealthcare $48 - $138 286%
Universal American Mcr-All Other Plans $48 286%
Care Improvement Plus Mcr $49 292%
Universal American Snp $51 304%
Ambetter / Centene $58 345%
Blue Cross Blue Shield $82 - $86 488%
Amerigroup Chip $83 494%
Amerigroup Star $83 494%
Amerigroup Star Kids $83 494%
Amerigroup Star Plus $83 494%
Comm Health Chip $83 494%
Comm Health Perinatal-All Other Plans $83 494%
Molina Chip/Star-All Plans $83 494%
Scott & White Chip/Star-All Plans $83 494%
Superior Chip/Star $83 494%
Texas Childrens Hp - All Plans $83 494%
Comm Health Mcaid Hmo $87 518%
Comm Health Star $87 518%
Prime Healthcare Services-All Plans $121 720%
Cigna $130 774%
Aetna $138 821%
Capstar Health Network-All Plans $138 821%
Coventry First Hlth Hmo Ppo-All Other Plans $138 821%
Healthcare Highways-All Plans $138 821%
Humana $138 821%
Corvel Work Comp-All Plans $147 875%
Galaxy Health Network-All Plans $147 875%
Independent Med Sys Ppo-All Plans $147 875%
Multiplan Phcs Ppo-All Other Plans $147 875%
Provider Select Ppo-All Plans $147 875%
Three Rivers Ppo-All Plans $147 875%
Usa Mso - All Plans $147 875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals